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(영문) 울산지방법원 2013.04.25 2012고정1399

사기

Text

A defendant shall be punished by a fine of 500,000 won.

If the defendant does not pay the above fine, 50,000 won.

Reasons

Punishment of the crime

The defendant is a caregiver belonging to the C Welfare Center, a home care institution for home care.

A caregiver is a person who visits his/her home to provide services, such as physical activities, household activities, bathing, etc. (hereinafter referred to as "repaid benefits"), even if he/she is aged 65 years or older under the Act on Long-Term Care Insurance for Older Persons and the Welfare of Older Persons Act or under the age of 65 (hereinafter referred to as "beneficiary").

If the Defendant provided home care benefits as above and entered the details thereof in the record book of the provision of long-term care benefits and submitted them to the above welfare center, the above welfare center, based on the above record book, has access to the Internet homepage of the National Health Insurance Corporation every month, claiming expenses for long-term care benefits in a lump sum by computer, and accordingly, the Defendant received such allowances from the above welfare center that received remittance from the above insurance company around the 25th of each

The Defendant did not conduct a proper examination at the National Health Insurance Corporation, and did not provide home care benefits to beneficiaries, using the fact that the Defendant paid expenses as claimed by the above Welfare Center, or did not provide a normal home care benefits, such as late attendance at work and early retirement, but did not pay home care benefits, but did not wish to receive home care benefits expenses.

1. On March 12, 201, the Defendant: (a) visited the beneficiary F’s residence located in Ulsan-gu, Ulsan-gu, Seoul-gu, from February 12, 201 to 12:00 on February 12, 2011 at the above welfare center office located in Ulsan-gu, Ulsan-gu, for long-term care benefits; (b) filed a claim for expenses for long-term care benefits with the National Health Insurance Corporation; and (c) obtained KRW 33,570 from a person in charge of long-term care benefits, who did not know of such claim; and (d) obtained by